Antental

Question 1

What is the antenatal period?

Answer 1

It’s conception to labour

Question 2

What is pregnancy duration?

Answer 2

40 weeks ( 1st day of LMP to labour )

Question 3

What is the first trimester?

Answer 3

1st Trimester : Week 1 - the end of week 12

Question 4

What is the second trimester?

Answer 4

2nd Trimester : week 13 - the end of week 27

Question 5

What is the third trimester?

Answer 5

After week 28

Question 6

What are presumptive signs ( subjective ) of pregnancy?

Answer 6

Breast tenderness and enlargement ( 3 to 6 weeks )

Amenorrhea ( 4 weeks )

Nausea and vomiting ( 4 to 14 weeks )

Frequency urination ( 6 to 12 weeks )

Fatigue ( 12 weeks )

Uterine enlargement ( 7 to 12 weeks )

Fetal movements ( 16 to 20 weeks )

Hyperpigmentation of skin ( 16 - 24 weeks )

Question 7

What are the probable signs ( objective )?

Answer 7

Positive pregnancy test ( 4 to 12 weeks )

Chadwick’s sign ( 6 to 8 weeks )
Goodell’s sign ( 6 weeks )

Hegar’s sign ( 6 to 12 weeks )

Ballottement ( 16 to 28 weeks )

Braxton Hicks contractions ( 16 to 28 weeks )

Question 8

What are the positive signs?

Answer 8

• Ultrasound verification of embryo of fetus ( 4 to 6 weeks)
• Fetal movement felt by experienced clinician ( 20 weeks )
• Auscultation of fetal heart tones via Doppler ( 10 to 12 weeks )

Question 9

What is menstrual history?

Answer 9

Calculation of expected date of delivery ( EDD )

• Nagele’s rule
• Gestational or birth calculator or wheel
• Ultrasound is the best method of dating a pregnancy.

Question 10

How to calculate naglene rule?

Answer 10

Minus 3 months + 7 days

Add one year on it

Question 11

What is para?

Answer 11

The number of pregnancy that have reached viability, regardless of whether the infants were born alive

Question 12

What is gravida ?

Answer 12

A woman who is or has been pregnant

Question 13

Primi gravida ?

Answer 13

A women who is pregnant for the first time?

Question 14

Primi para?

Answer 14

A women who has given birth to one child past age of viability

Question 15

Multi gravida ?

Answer 15

A woman who has been pregnant previously

Question 16

Grand multi para

Answer 16

A women who has carried five or more pregnancies to viability

Question 17

multi para

Answer 17

a women who has carried two or more pregnancies to viability

Question 18

null gravida

Answer 18

a women who has never been and is not currently pregnant

Question 19

what are the maternal assessment?

Answer 19

• weight and BP compared to baseline values
• Urine testing for protein, glucose, ketones and nitrites
• Fundal height
• Quickening / fetal movement
• Fetal heart rate

Question 20

What do we do to assess the fetal well being?

Answer 20

Ultrasonography and chromosomal anormalies

Question 21

What does ultrasonography do?

Answer 21

First 12 weeks of pregnancy : confirm and see gestational sac

Fetal anomaly scan : 20-22 weeks of pregnancy, physical anomalies

Growth scan : 30 - 32 weeks of pregnancy, growth ( maturity, sex )

Question 22

What are chromosomal anomalies test ?

Answer 22

Triple test
Amniocentesis
Chorionic Villus sampling ( CVS )

Question 23

Triple test

Answer 23

Its purpose is to SCREEN for possible neural tube defects, Down syndrome and Trisomy 18 in the developing baby.

Question 24

Amniocentensis

Answer 24

Amniocentesis is a test you may be offered during pregnancy to check if your baby has a genetic or chromosomal condition, such as Down’s syndrome, Edwards’ syndrome or Patau’s syndrome.

Question 25

Chorionic Villus sampling ( CVS )

Answer 25

Chorionic villus sampling (CVS) is a prenatal test in which a sample of chorionic villi is removed from the placenta for testing.

Chorionic villus sampling can reveal whether a baby has a chromosomal condition, such as Down syndrome, as well as other genetic conditions, such as cystic fibrosis.